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Chapter 44

Words:2106Update:22/06/27 09:04:33

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Both of them trotted to the emergency department in silence.

Back in the emergency department, Old Chief Physician Pan ordered for patients with minor illnesses to be dismissed and sent to other hospitals.

After Old Chief Physician Pan announced that there was a mass poisoning incident and Sea City General Hospital had to focus on treating critical cases, most patients obeyed and left on their own to seek treatment at other hospitals.

There were also some who were not seriously injured and were not in a hurry, so they stayed to watch the commotion.

However, a few people started to make a fuss. They were already here, yet they refused to see a doctor?! Was your hospital still a place for saving lives? If you don't want to treat me, then don't even think about it!

Old Chief Physician Pan only looked coldly at the quarreling uncles and hooligans and ignored them. Then, he started to arrange for emergency observation rooms.

Those who could be discharged were discharged, and the procedures would be completed later to free up as many observation beds as possible to wait for the coming storm.

Five minutes later, the leaders of Sea City General Hospital arrived at the emergency department and worked on-site. They deployed doctors and nurses from various departments to strengthen the emergency department's strength.

After all, such a major incident might not happen even once in a few years. Therefore, the emergency department did not have a routine allocation and could only make temporary adjustments.

A female patient in her fifties with a hostile look on her face saw the hospital leaders arrive. She grabbed the revered Director Xiao and began to make a fuss.

No one could do anything about a slightly older person acting like a scoundrel, including Director Xiao.

Seven minutes later, the nearby police arrived for backup.

Seeing the shining national emblem, the troublemakers cowered.

Nine minutes later, the ambulance's hoarse horn could be heard from afar. All personnel were in position, ready to fight.

Zheng Ren, nurses, and caregivers went to the emergency entrance to receive the ambulance. Initially, Zheng Ren did not need to go, but he thought that a clear diagnosis a second earlier might save a life.

The ambulance braked abruptly, its tires screeching against the ground. White smoke rose, leaving black marks on the ground from the friction of the brakes and tires.

Zheng Ren was stunned when the stretcher was pushed down.

The patient's exposed skin was blue-gray, like an Avatar.

A bad feeling rose in Zheng Ren's mind. This was nitrite poisoning.

Ever since the intensive training in the System, Zheng Ren's memory was many times better than before.

For example, nitrite poisoning was an extremely rare disease. It was only briefly introduced in school textbooks. After leaving school and joining the workforce, Zheng Ren had not seen a single patient with nitrite poisoning.

But this memory, a few lines of words appeared directly without any ambiguity.

Based on the diagnosis in the upper right corner of his field of vision, he confirmed that this was nitrite poisoning. The patient was in a state of toxic shock and could die at any time!

Pushing the cart, Zheng Ren ran wildly.

At this time, every second was extremely precious, and it could determine a person's life or death.

"Nitrite poisoning! Prepare methylene blue! Prepare potassium permanganate for gastric lavage! "Zheng Ren shouted as he pushed the cart forward.

Zheng Ren's voice echoed in the corridor.

Little Zhao hid in an inconspicuous corner of the corridor of the Emergency Department and was livestreaming. When he heard Zheng Ren's voice and saw him pushing the cart and running, a sense of admiration suddenly rose in his heart.

He was usually very ordinary, with no money, no house, and no girlfriend? Pan Shellfish? Rosefinch and toad

"Prepare methylene blue, in large quantities!" Zheng Ren ordered loudly as he passed by Director Xiao.

As if he was the dean, his voice carried authority.

Director Xiao was stunned. That unreasonable woman in her fifties was still causing trouble despite the police's deterrence.

Zheng Ren let go of the cart and said, "Set up an intravenous channel. Add 250 ml 10 grams of sugar and 140 mg of methylene blue. Inject it at full speed. At the same time, use potassium permanganate for gastric lavage."

The stretcher trolley with the patient left Zheng Ren's hands and was caught by a nurse who was waiting at the emergency resuscitation room entrance.

"We need a large amount of methylene blue. The emergency department has regular stock, but it's not enough," Zheng Ren said solemnly as he approached Director Xiao.

"You're bullying an old lady like me. I'm not done with you! I don't believe there's no justice in this world! " The old lady seemed to have gone crazy. She grabbed the collar of Director Xiao's white coat and threw a tantrum, ignoring the words of the police officers beside her.

Without a word, Zheng Ren grabbed her arm and threw her aside.

With such force, the troublemaker was thrown into the crowd in the corner. She was stunned for a moment, then immediately sat on the ground and started wailing, slapping the ground with both hands. "The doctor killed someone, the police killed someone!"

"You guys handle it. More people will come later." Zheng Ren went into king mode and arranged for the police to do their work. Then, he said to Director Xiao, "Our hospital's stock is probably not enough. Ask the city for help. If the city's stock is not enough, ask for help from other cities and counties! "

After saying that, he turned around and left without explaining why.

Emergency treatment was a race against time. Director Xiao's expression was solemn. He did not even bother to tidy up his messy collar. He asked the chief of the medical administration division to allocate all the methylene blue in the hospital. Then, he picked up the phone and started contacting all the methylene blue in the city.

Methylene blue, also known as methylene blue, was commonly used in clinical practice to mark the surgical site. Therefore, the hospital's stock was not large because of the low consumption.

The red blood cells of normal humans and animals contained substances that could reduce methemoglobin, such as VC and glutathione.

If the oxidizing ability of nitrite entered the body exceeded the body's ability to reduce it, the human or animal would show obvious symptoms of poisoning.

Methylene blue was injected into the body and catalyzed by reductase 1 to return to the original form. The original form of methylene blue could reduce methemoglobin to hemoglobin. The original form of methylene blue would then be oxidized to the oxidized form of methylene blue. The process was repeated and recycled.

Not many of the medical staff present knew this theory. It was an extremely unpopular first aid knowledge. However, this did not prevent them from realizing the severity of the problem. After all, the patient's entire body was blue, his breathing was weak, and his blood pressure was very low. Anyone with a little clinical experience could tell that the patient was in a state of shock.

If the state of shock could not be improved soon, liver and kidney failure, brain edema, and other complications would soon occur due to decreased blood perfusion, followed by death.

After making arrangements for Director Xiao, Zheng Ren entered the emergency room. At that moment, he did not consider whether his tone when speaking to the director would bring him trouble in the future.

The patient lay on the rescue bed. His shirt had been cut off and thrown to the side. His entire body was covered with electrocardiogram monitoring. The densely packed wires methodically transmitted the patient's vital signs to the ECG monitor. Through the electric current, the data was transformed into numbers and images, making everything more direct.

Blood pressure, heart rate, and oxygen saturation could not be detected!

Under normal circumstances, this was already a dead person.

The matron was in the middle of establishing the IV channel. She bent over and did not see any blood return after three injections. The cold sweat on her forehead had soaked the sterile surgical cap in less than ten seconds.

Life or death depended on the successful establishment of the IV channel.

At that moment, the patient's blood pressure and pulse were extremely weak. Even large veins such as the jugular and femoral veins had shrunk and become connective tissue in the muscle tissue. There was no way to find them.

"Let me do it." Old Chief Physician Pan took the surgical kit and pulled down the patient's pants to search for the femoral vein. He was ready to perform a deep vein incision, a surgical procedure that was rarely performed nowadays.

The situation was critical. Even if Old Chief Physician Pan cut open the skin and muscle of the groin, the femoral vein would probably become a transparent connective tissue. It was a challenge to the surgeon's eyesight and experience.

Moreover, the process was very slow. Zheng Ren seemed to hear the sound of an ambulance in the distance.

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